NPI 1164890786

Rheta Denise Conner, CTRS

Practitioner Recreation Therapist Avilla, IN

Practice location

Address: 247 N 600 E, Avilla, IN 46710-9616
Phone: (260) 750-5748

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 52268 (IN)

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Registry record

NPI: 1164890786
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Sep 2015
Record last updated: 14 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.